Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.84 / $75.84 / $75.84	Facility		$75.84	$75.84	$75.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $75.84 / $75.84	Professional		$54.00	$75.84	$75.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.53 / $81.28 / $168.60	Facility		$37.53	$81.28	$168.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.29 / $83.29 / $83.29	Facility		$83.29	$83.29	$83.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $83.29 / $83.29	Professional		$83.29	$83.29	$83.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.84 / $87.60 / $102.40	Facility		$75.84	$87.60	$102.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.37 / $81.81 / $94.35	Professional		$74.37	$81.81	$94.35